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Complications of Renal Transplantation¹

¹ From the Division of Abdominal Imaging and Intervention, Brigham and Women’s Hospital, Boston, Mass (S.A.A.); Department of Radiology, William Beaumont Hospital, Royal Oak, Mich (S.Z.H.J., K.G.B.); Department of Radiology, University of Miami, Jackson Memorial Hospital, Miami, Fla (M.A.A., B.L.M.); and Department of Radiology, Northwestern Memorial Hospital, Chicago, Ill (R.S.). Recipient of a Certificate of Merit award for an education exhibit at the 2001 RSNA Annual Meeting. Received June 14, 2004; revision requested August 9 and received March 24, 2005; accepted March 28. All authors have no financial relationships to disclose. Address correspondence to S.A.A., Department of Radiology, Rush Copley Medical Center, 2000 Ogden Ave, Aurora, IL 60504 (e-mail: s.a.akbar{at}netzero.net).

Continued improvements in graft survival have led to widespread acceptance of renal transplantation as the preferred treatment for the majority of patients with end-stage renal disease. The long-term care of these patients is often provided away from transplantation centers. This article presents both the clinical and imaging features of renal transplantation complications and their interventional management. Urologic and vascular complications may occur. Vascular complications include renal artery stenosis and renal artery and renal vein thrombosis. Ultrasound can accurately depict and characterize many of the potential complications of renal transplantation and increasingly magnetic resonance imaging also facilitates this role. In addition, interventional radiologic techniques allow nonsurgical treatment.

© RSNA, 2005

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